消除脑干听觉诱发电位中刺激伪迹的新方法
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R-331

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2023年度广东医科大学博士学位人员科研启动基金(GDMUB2023004);广东医科大学学科建设项目(4SG21018G)


A New Method to Eliminate Stimulus Artifacts in Auditory Brainstem Responses
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    摘要:

    脑干听觉诱发电位(auditory brainstem response, ABR)检测是一种客观检测听力损失的方法,目前在临床上广泛应用,其波形特性会受刺激声参数的影响。采用单极性的刺激声测量的ABR中会存在刺激伪迹,而交替极性是目前消除刺激伪迹的唯一办法。然而,考虑到不同极性的刺激对听觉系统作用的生理差异,交替极性的刺激可能导致诱发的ABR出现潜伏期抖动现象。因此,本研究提出了一种新的消除刺激伪迹的方法——分和极性法,即先分开使用正极性和负极性的刺激再叠加诱发得到的两种响应。实验招募了听力正常的受试者,比较了短声在单极性(正/负极性)、交替极性和分和极性四种极性处理方法下诱发的ABR,以及五种频率的短纯音在交替极性和分和极性两种方法下的ABR,重点关注了它们的波形分化和潜伏期差异。实验结果表明短声ABR在不同极性处理方法下的差异不明显,说明其对刺激极性不敏感;低频短纯音ABR在分和极性下的波形形态比交替极性下的更好,说明低频短纯音ABR对刺激极性较为敏感,且这种敏感程度随着刺激频率的升高而降低。基于对实验结果的分析,对于短声ABR,推荐使用单极性刺激;对于短纯音ABR,推荐使用分和极性法。本研究检验了分和极性法的可行性,为测量诱发电位时消除刺激伪迹提供了一种新的方法。

    Abstract:

    Auditory brainstem response (ABR) is an objective method for detecting hearing loss, which is widely used in clinical practice, and its waveform characteristics are influenced by stimulus parameters. There are stimulus artifacts in ABR measured using unipolar stimulus, and alternating polarity is currently the only way to eliminate stimulus artifacts. However, considering the physiological differences in the effects of stimuli with different polarities on the auditory system, alternating polarity stimuli may lead to latency jitter in the induced ABR. Therefore, a new method was proposed to eliminate stimulus artifacts - the method of division and sum polarity, which first used positive and negative stimuli separately and then superimposed the two responses induced. The subjects with normal hearing were recruited, and their data that the click ABRs under four polarity ways (positive polarity, negative polarity, alternating polarity, division and sum polarity), as well as the tone-burst ABRs at five frequencies under two polarity ways (alternating polarity and division and sum polarity) were compared, with a focus on their waveform differentiation and latency differences. The results show that the difference in click ABRs under different polarity ways is insignificant, indicating that it is not sensitive to stimulus polarity. The waveform of low-frequency tone-burst ABRs is better under division and sum polarity than under alternating polarity, indicating that the low-frequency tone-burst ABR is more sensitive to stimulus polarity, and the sensitivity decreases with the increase of stimulus frequency. Based on the analysis of the above results, it is recommended to use unipolar stimulus for the click ABR, and the division and sum polarity method for the tone-burst ABR. The feasibility of the division and sum polarity method is validated in this study, which provides a new approach for eliminating stimulus artifacts when measuring evoked potentials.

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引用本文

姜言冰,王攀科,林林. 消除脑干听觉诱发电位中刺激伪迹的新方法[J]. 科学技术与工程, 2025, 25(14): 5788-5794.
Jiang Yanbing, Wang Panke, Lin Lin. A New Method to Eliminate Stimulus Artifacts in Auditory Brainstem Responses[J]. Science Technology and Engineering,2025,25(14):5788-5794.

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  • 收稿日期:2024-07-19
  • 最后修改日期:2025-02-28
  • 录用日期:2024-10-29
  • 在线发布日期: 2025-05-22
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